Esophageal melanosis due to mishri usage: A case with uncommon finding and rare etiology

Esophageal melanosis (EM) is a rare disease of the upper digestive system. We present a case series of two patients with EM who presented with dysphagia and had the habit of mishri consumption. Endoscopy showed black-pigmented spots involving the upper and mid esophagus. EM due to mishri consumption was a rare presentation as there were no cases reported till date. The following core competencies are addressed in this article: Patient care, Practice-based learning and improvement, Medical knowledge.